A wrestler reports onset of low back pain during a match. He…
A wrestler reports onset of low back pain during a match. He describes an episode in which he threw his opponent onto the mat and felt pain as he bent forward (flexion and L rotation). Chief complaint is left low back pain with the pain localized to the left low back region. Neuro screen is unremarkable and all neural tension testing is negative. Spring testing reveals pain over the L4-5 region. Palpation reveals tenderness over the lumbar paraspinal muscles. Lumbar AROM is limited in flexion and left side bending. Which treatment plan is the best choice based on the treatment classification approach?
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